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Application for Membership

607 Westridge Dr.
O'Fallon, MO 63366

 FORMBCK1.gif (3041 bytes)
Serving
     Credit
            Professionals
                  Since
                        1875		 Phone: 636-294-5775   FAX: 636-272.2973
E-mail service@bpca.org

Best Protector of Cash Assets

 Best
     Provider of
          Credit
               Answers

We hereby apply for membership in BPCA and submit the following information about our company:

Date:
Firm Name:
Credit Exec Name:
Title:
Mailing Address:
City: Zip code:
Shipping Address:
City: Zip code:
State/Province: Country: 
Phone: Toll Free:
Fax:
Email Address:
Date Company  Established: SIC Code: DUNS #:  
We are a: Corporation Partnership Proprietorship
Division Subsidiary 
Officers:
President: Vice President:
Treasurer: Secretary:
If a division or subsidiary:
Name of Parent: Phone:
Address: City:
State/Province: Postal Code:
Bank Reference:
Name: Phone:
Address:
Type of business:
Manufacturer Wholesaler   Factor

Which Industry Group(s) Best Fit Your Company? (Check all that apply)

  National Credit Group
              Any Manufacturer, Wholesaler or Factor Selling to:
  • Office Products Dealers
  • Office Furniture Dealers
  • Office Machine Dealers
  • Arts & Crafts Stores
  • Discount Stores
  • Superstores
  • Mass Merchandisers
  • Drug Stores
  • Grocery Stores
  • Retail & Discount Bookstores
  • Retail Stores
  • Wholesalers of any of these product lines

     International Janitorial / Sanitary Supply Credit Group

     National Deduction Resolution Group

      National School Supply Credit Group

     Other: _____________________________________

When joining the National Credit Group, you are entitled to:

      Credit Group membership is by company – your company may have as many representatives from the Credit Department as desired for the single membership fee
(all at the same location).

 Membership in the COMPLIANCE & LOGISTICS Group is also a company membership, and is open to any individuals involved
in the deduction resolution process or involved in the "Terms Sheet" of your customer (Credit, Customer Service, Manufacturing, Distribution, Sales, etc.)

SUBMISSION OF ACCOUNTS RECEIVABLE DATA

To be able to provide a database that is beneficial, it is required that all members report the payment experience of their customers. This is best done by submitting a monthly data file of your total Accounts receivable.  This may be submitted in an Excel spreadsheet, or a comma delimited text file.  Contact BPCA for a list of the items required in this monthly report.  Submitting your A/R data file each month will save you 25% on Focus Reports you purchase.

Yes, please forward the A/R File Layout for our use in creating our monthly A/R data file.

Please print this completed application and sign by an authorized agent
prior to forwarding to BPCA.

PAYMENT OF YOUR MEMBERSHIP INVESTMENT

After completing this application please sign the printed application and mail / fax / or email it to BPCA.
A remittance of one (1) full year’s Membership Investment must accompany this membership application. Your anniversary billing date for your Membership Investment will be 12 months from the date your application is received. Thereafter, your Membership Investment will be billed annually on the first of your anniversary month and are due within 30 days of the invoice date. 

Contact Debbie at BPCA for information on discounts or the Limited-Time-Offer
 for NEW Members.  (636-294-5775)

Upon receipt, you will be provided your Username and Passwords to access the Focus Reporting system through the Internet. 

MEMBERSHIP INVESTMENT
(U.S. Funds)

Amount of Membership Investment: $
Comments:
Application submitted by:
Name: Title:

Signature:
_______________________________
 

   * * * * Please forward a copy of your catalog to our office * * * *

BPCA
607 Westridge Dr., O'Fallon, MO 63366
Phone: 636-294-5775       Fax: 636-272-2973       E-mail: service@bpca.org

(A Business Products Credit Association, Inc. Company)


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